What Your Doctor May Not Tell You about Fibroids: New Techniques and Therapies--Including Breakthrough Alternatives to Hysterectomy

by Scott C. Goodwin MD, Michael Broder MD, David Drum

Overview

Fibroid tumors are the leading reason why more than 500,000 American women have hysterectomies each year.

Product Details

ISBN-13:	9780446678537
Publisher:	Grand Central Publishing
Publication date:	04/01/2003
Series:	What Your Doctor May Not Tell You about Series
Pages:	352
Product dimensions:	5.25(w) x 8.00(h) x 0.88(d)

Table of Contents

	Foreword	xv
	Introduction	xix
xix
xxi
Chapter 1	Fibroids	1
	Advice and Consent	5
	Unnecessary Surgeries	7
	Financial Costs	9
	About This Book	11
	Moving Ahead	12
Chapter 2	What are Fibroids?	14
	What Are Fibroids?	16
	The Amazing Uterus	18
	How Big Are They?	19
	Types of Fibroids	21
	Female Hormones	23
	Cancer and Fibroids	24
Chapter 3	Diagnosing Fibroids	31
	A Question of Trust	32
	Medical Tests	35
	Similar Conditions	42
Chapter 4	Managing Symptoms	48
	Symptoms of Fibroids	50
	Bleeding	51
	Pain	55
	Pressure	57
	Bloating/Feeling of Fullness	59
	Sexual Dysfunction	59
	Infertility	62
	Pregnancy Complications	69
	Pain	69
	Preterm Labor	70
	Cesarean Delivery	71
	Urinary Problems	74
	Depression	75
Chapter 5	Watchful Waiting	77
	Treating Fibroids	78
	Evaluating Symptoms	79
	Managing Symptoms	81
	Monitoring Fibroids	82
	Menopause	84
	Watchful Waiting	86
Chapter 6	Diet	87
	A Healthy Diet	90
	Estrogen	92
	Low-Fat, High-Fiber Diets	93
	Phytoestrogens	98
	Foods That May Help Bleeding	99
	Foods That May Help Pain	103
	Nutrients: Replacing Animal Products	105
Chapter 7	Exercise	108
	Controlling Pain	111
	Choosing an Exercise	113
	Yoga as Exercise	114
	Exercise after Surgery	114
Chapter 8	Stress	118
	Research on Stress and Fibroids	119
	Mind/Body Therapies	121
Chapter 9	Alternative Medicine	125
	Complementary Treatment of Uterine Fibroids	126
	Traditional Chinese Medicine	127
	Western Herbal Medicine	130
	Herbs for Bleeding	131
	Herbs for Pain	133
	Herbs to Help the Liver	135
	Homeopathy	136
	Natural Progesterone	137
Chapter 10	Drug Treatments	140
	Medical Therapies That Control Symptoms	141
	Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)	142
	Birth Control Pills	144
	Progestins	146
	Tranexamic Acid	147
	Progestin-Releasing IUD	148
	Medical Therapies That Shrink Fibroids	150
	Gonadotropin-Releasing Hormone (GnRH)	151
	Mifepristone (RU-486)	156
	Raloxifene and Tamoxifen	158
	Androgen Therapy	160
	Interferon	161
Chapter 11	Uterine Fibroid Embolization	163
	Who Chooses This Procedure?	165
	How It Works	172
	Variations in the Uterine Artery	174
	Variations in Technique	176
	Embolic Particles	177
	Distinguished History	178
	UAE or UFE?	180
	Results	180
	Large Fibroids	182
	Risks of the Procedure	184
	Realistic Outcome Expectations	188
	Fertility	189
	Leiomyosarcoma	190
	Preoperative Preparation for UFE	191
	After Embolization	195
Chapter 12	Myomectomy	197
	Life-Saving Surgery	200
	Myomectomy History	201
	Fibroid Recurrence	202
	Surgical Technique	207
	Abdominal Myomectomy	208
	Laparoscopy	214
	Hysteroscopy	216
	How to Prepare for Surgery	218
	Postoperative Care	223
	Continued Problems after Surgery	227
	Choosing a Doctor	231
	Good Choices	233
Chapter 13	Hysterectomy	235
	Overuse of Hysterectomy	236
	Approaches to Hysterectomy	238
	Laparoscopic Hysterectomy	240
	Removing Ovaries	241
	Removing the Cervix	244
	Quality of Life	245
	Sex after Hysterectomy	246
	Complications and Side Effects	248
	Before Surgery	250
	After Surgery	250
	Hormone Replacement Therapy	253
Chapter 14	Into the Future	256
	New Drugs	256
	New Forms of Invasive Therapy	257
	Uterine Fibroid Embolization	258
	Endometrial Ablation	258
	Myoma Coagulation (Myolysis)	259
	High-Intensity Focused Ultrasound (HIFUS)	261
	Gamma Knife	262
	Alternative Therapy	262
	Genetics	263
	Final Thought	264
	Glossary	265
	Bibliography	279
	Additional Resources	297
	Books	297
	Organizations	298
	Websites	302
	Index	305
	About the Authors	321

Editorial Reviews

Both of the UCLA School of Medicine, Goodwin (radiological sciences) and Michael Broder (obstetrics and gynecology) team up with medical writer David Drum to produce a highly informative guide to fibroids and their treatment. As they grow, these benign tumors on the uterus can cause bleeding, pain, or infertility. Although fibroids affect 40 percent of women, the authors note that a review of the medical literature "painted a rather disappointing and dismal picture of uterine fibroids research," and the most standard treatment has been hysterectomy. This book thoroughly discusses how fibroids grow, the diagnostic tests used to distinguish them from other conditions, and major symptoms. The roles of diet, exercise, stress reduction, and alternative treatments such as homeopathy and acupuncture are also covered. The book's greatest strength lies in the final chapters, which explain uterine fibroid embolization, myomectomy, and new alternative treatments, both invasive and drug-based. A glossary, bibliography, and lists of organizations, books, and web sites complete the volume. Highly recommended for most women's health collections.-Jodith Janes, Cleveland Clinic Fdn. Lib. Copyright 2003 Reed Business Information.

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